Robert Graham, MD
Surgery of the Hand · Jacksonville Beach, FLNPI 1831504885
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (55.9%), grants and travel and lodging — rather than concentrated in one kind of arrangement. Stryker accounts for 60.3% of it on its own, with 24 other manufacturers making up the rest. Reporting peaked in 2024 at $38,727 and has fallen 97.8% since, to $860 in 2025. Among surgery of the hand clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 138 payments — averaging $452.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$38K
- Arthrex$14K
- Team 1, LLC$7K
- Medical Device Business Services, Inc.$2K
- Acumed LLC$618
- Axogen$412
- plus $1K from 19 others
What the payments were for
- Royalty or licence$34,85556%
- Grants$10,15016%
- Travel & lodging$7,26612%
- Food & beverage$4,5537%
- Education$5,5759%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Stryker | 28 | $37,608 |
| Arthrex | 34 | $13,817 |
| Team 1, LLC | 11 | $6,884 |
| Medical Device Business Services, Inc. | 16 | $1,862 |
| Acumed LLC | 9 | $618 |
| Axogen | 5 | $412 |
| Smith+Nephew | 7 | $292 |
| EBI, LLC | 3 | $192 |
| Endo Pharmaceuticals Inc. | 2 | $128 |
| Medartis Inc. | 1 | $93 |
| Zimmer Biomet | 3 | $59 |
| Highridge Medical LLC | 1 | $58 |
| Johnson & Johnson | 2 | $58 |
| Biotissue Holdings Inc. | 3 | $56 |
| Vertex | 2 | $53 |
| Access Pro Medical, LLC | 1 | $32 |
| ERMI LLC | 1 | $31 |
| Dynasplint Systems Inc. | 2 | $27 |
| Bioventus LLC | 1 | $24 |
| Endo USA, Inc. | 1 | $19 |
| Zimvie Inc. | 1 | $18 |
| Mimedx Group, Inc. | 1 | $14 |
| Checkpoint Surgical, Inc | 1 | $14 |
| Innovation Technologies Inc | 1 | $14 |
| Orthofix Medical, Inc. | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- AEQUALIS PERFORM$34,855
- NONE$1,810
- VA-LCP PLATES & SCREWS$943
- ACUMED$397
- AxoGuard Nerve Protector$329
- AxoGuard Nerve Connector$329
- HOFFMANN$143
- REUNION$143
- OsteoMed$122
- SIMPLICITI$112
- XIAFLEX$111
How this compares
$62,399 in reported general payments places this provider in the 90th percentile of 60 surgery of the hand providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 200 | $1,069 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $287 |
| Methylprednisolone | 36 | $257 |
| Cephalexin | 18 | $166 |
| Tramadol Hcl | 22 | $137 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Jacksonville Beach
- Thomas WrightGainesville$4.1M
- David ShenassaPlantation$109K
- Antonio GayosoSt Petersburg$65K
- David FriedmanWeston$42K
- Karan DesaiWinter Garden$39K
- Morad AskariCoral Gables$36K
- Jose BorreroAltamonte Springs$35K
- Francisco Schwartz-FernandesOcala$26K
- David HalpernTampa$19K
- Jacob JabbourMiami$16K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.